HIT Policy CommitteeHIT Policy Committee

Adoption Certification WorkgroupProposed Next StepsProposed Next Steps

Paul Egerman, Chair

Marc Probst, Co-Chair

July 21, 2010

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Agenda

• The Workgroup• Recent Activities• ONC Presentations• Areas of Focus• Hearing on exploring barriers to EHR adoption• Next Steps

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Certification/Adoption WorkgroupChairs:• Paul Egerman• Marc Probst - Intermountain Healthcare

Members:• Rick Chapman - Kindred Healthcare• Adam Clark - Lance Armstrong Foundation• Charles Kennedy - Wellpoint• Scott White - SEIU Training & Employment Fund• Latanya Sweeney - Carnegie Mellon University• Steve Downs - Robert Wood Johnson Foundation• Joseph Heyman - American Medical Association• Teri Takai – State Chief Information Officer, CA• Micki Tripathi - Massachusetts eHealth Collaborative • George Hripcsak - Columbia University • Paul Tang - Palo Alto Medical Foundation • Carl Dvorak- Epic• Joan Ash- Oregon Health and Science University

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Recent Activities

• Continued focus on Certification efforts

• Discussions with ONC Staff on most appropriate areas to support

• Presentations from Melinda Buntin and Ned Ellington from ONC

• Identification and prioritization of areas of focus

• Definition of proposed hearing to focus on barriers to EHR adoption

5

ONC Presentations

• Melinda Buntin – Director, Office of Economic Analysis & Modeling

– Data Collection and Analysis

– Modeling of Adoption

– Supporting/Encouraging Adoption

– ONC Performance Measurement

• Ned Ellington – Director, HITRC, Office of Provider Adoption Support

– Provider Support

– REC issues

– Knowledge Sharing Network

– Research and Resources (sharing best practices)

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ONC Presentations (continued)

• Specific actions discussed where Workgroup can support ONC teams:– Participation in expert panel looking at initial models

– Individual discussion/expert support to ONC teams

– Aggregation of ideas from vendor/user communities

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Areas of focus – specifically discussed

• Adoption challenges faced by specific market segments (“Thoughtful non-Adopters”)

• Coordination with Implementation Workgroup (HIT Standards Committee)

• Monitor the Certification Process for effectiveness

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Areas of focus - other

• REC Best Practices• EHR Best Practices (tips and techniques)• Training & Education• Success Stories on Adoption• Patient Access to Data Issues• EHR Safety• HIE Adoption• Workforce issues• Specific Physician issues

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Hearing: Exploring Barriers to EHR Adoption

• Hearing on exploring barriers to EHR adoption: tools for the small- and medium-sized end users– Separate sessions for physicians and hospitals– Focus on small- and medium-sized end users– Elicit input from vendors and practitioners– Focus on barriers to adoption and lessons learned

• Goal is to provide ONC with better understanding of the barriers and recommendations for overcoming them

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Next Steps

• Support Modeling Conference (Melinda Buntin)

• Work with ONC on Barriers Hearing

• Follow-up Workgroup conference call on prioritizing action items